HomeMy WebLinkAboutZ-33995FORM NO. 4
TOWN OF SOUTHOLD
BUILDING DEP~=RTg[ENT
Office of the Building Inspector
Town Hall
Southold, N.Y.
PRE EXISTING
CERTIFICATE OF OCCUPANCY
No: Z- 33995
~te: 10/06/09
THIS U~TIFIES that the building DWELLING
Location of Property 3230 BOISSEAU AVE
(HOUSE NO.)
Co~ty Tax ~p NO. 473889 Section 055
Subdivision
SOUTHOLD
(STREET) (HAMLET)
Block 0006 Lot 001
FiledMap No. Lot No.
conforms substantially to the Requirements for a ONE FAMILY DWELLING
built prior to APRIL 9, 1957 pursuant to which CERTIFICATH OF
~C~3P~/~C"f~ Z- 33995 (Lated OCTOBER 6, 2009
was issued, and conforms to all of the requirements of the applicable
provisions of the law. The occupancy for which this certificate is
issued is ONE FAMILY DWELLING.*
The certificate is issued to JOHN R SULLIVAN
(OWNER)
of the aforesaid building.
N/A
N/A
N/A
~~A horize~
Rev. 1/81
BUILDING DEPARTMENT
TOWN OF SOUTHOLD
HOUSING CODE INSPECTION REPORT
LOCATION: 3230 BOISSEAU AVE
SOUTHOLD
S~DMSIO~: MAP NO.: LOT ($)
1~ OF O~ (S): JOWN R SULLIVAN
OCCUPANC"f: 1 FAMILY RESIDENCE
DA~: 10/06/09
BATHROC~ (S): 2.0
1.5 ~ EXITS: 2
ACCESSORY STRUCTURES:
VIO~TIONS: CHAPTER 45 N.Y. STATE UNIFORE FIRE PREVENTION & BUILDING CODE
LOCATION DESCRIPTION ART. SEC.
R~%RKS: BP2544 ADD/ALT COZ2274
BY:
~ ~ DAT~ (~ INSPECTI(~: 10/05/09
GEORGE GILLEN T~ START:
Form No. 6
TOWN OF SOUTHOLD
BUILDING DEPARTMENT
TOWN HALL
765-1802
APPLICATION FOR CERTIFICATE OF OCCUP~
TOWN OF SOUTHOLD
This application must be filled in by typewriter or ink and submitted to the Building Department with the following:
A. For new building or new use: 1. Final survey of property with accurate location of ail buildings, property lines, streets, and unusual natural or
topographic features.
2. Final Approval from Health Dept. of water supply and sewerage-disposal (S-9 form).
3. Approval of electrical installation from Board of Fire Underwriters.
4. Sworn statement from plumber certifying that the solder used in system contains less than 2/10 of 1% lead.
5. Commercial building, industrial building, multiple residences and similar buildings and installations, a certificate
of Code Compliance from architect or engineer responsible for the building.
6. Submit Planning Board Approval of completed site plan requirements.
B. For existing buildings (prior to April 9, 1957) non-conforming uses, or buildings and "pre-existing" land uses:
1. Accurate survey of property showing all property lines, streets, building and unusual natural or topographic
features. /
2. A properly completed application and consent to inspect signed by the applicant. If a Certificate of Occupancy is
denied, the Building inspector shall state the reasons therefor in writing to the applicant.
C. Fees 1. Certificate of Occupancy - New dwelling $25.00, Additions to dwelling $25.00, Alterations to dwelling $25.00,
Swimming pool $25.00, Accessory building $25.00, Additions to accessory building $25.00, Businesses $50.00.
2. Certificate of Occupancy on Pre-existing Building - $ 100.00
3. Copy of CertificateofOccupancy_ $.25
4. Updated Certificate of Occupancy- $50.00
5. Temporary Certificate of Occupancy - Residential $15.00, Commercial $15.00
New Construction:
Location of Property:
Date.
Old or Pre-existing Building: X
3230 Boisseau Ave., Southold, NY 11971
House No. Street
Owner or Owners ofProperty: E~ta~-a of John Rayrannd flullivan
September 24, 2009
(check one)
Hamlet
Suffolk County Tax Map No 1000, Section 55
Subdivision
Permit No. Date of Permit.
Block 6
Filed Map.
Applicant:
Lot 1
Lot:
Health Dept. Approval:
Planning Board Approval:
Request for: Temporary Certificate
Fee Submitted: $ 100.00
Underwriters Approval:
Final Certificate:
(check one)
- PO BOX 706
App lic~[{~§~ia~¥ Ji~a~
CONSENT 'FO INSPECTION
Dav±d Worthington 01sen as Att~or~e~oroth' ~e undersigned, do(es)hereby state:
y ~Joerr, ~xecutrix of Estate of
Owner(s) Name(s) Raymond Sullivan
That the undersigned (is) (are) the owner(s) of the premises in the Town of
Southold, located at 3230 Bois.qeau Ave.. gouthold. NY 11971 ,
which is shown and designated on the Suffolk County Tax Map as District 1000,
Section 55 , Block 6 , Lot 1
That the undbrsigned (has) (have) filed, or cause to be filed, an application in the
Southold Town Building Inspector's Office for the following: _ 1 1/2 story
Frame House
That the undersigned do(es) hereby give consent to ~he Building Inspectors of the
Town of Southold to enter upon the above described property, including any and all
buildings located thereon, to conduct such inspections as they may deem necessary with
respect to the aforesaid application, including inspections to determine that said premises
comply with all of the laws, ordinances, roles and regulations of the Town of Southold.
The undersigned, in consenting to such inspections, do(es) so with the knowledge
and understanding that any information obtained in the conduct of such inspections may
be used in subsequent prosecutions for violations of the laws, ordinance.s, roles or
regulations of the Town of Southold.
Dated:
September 24, 2009
(Signature)
David Worthington Olsen
(Print Name)
(Signature)
(Print Name)
19~,z6
?
19~.oo
IZ. Ay~4o~p J._¢
MA~ OK PEOFEZT¥
VALEP. IE C~. ~ULLIVAN
~uFP~b~
Co., N, ¥.
/~,~ ...~-..~-_ ~ _/ TOWN OF SOUTHOLD PROPERTY RECORD CARD ' .
OWNER ~ STREET VILLAGE DIST SUB. LOT
I~RMER OWNER ~ N AC~
W TYPE OF BUILDING
RES,~/~) SEAS. VL FARM COMM. CB. MISC. Mkt. Value
LAND IMP. TOTAL DATE REMARKS --~-. _ ~3 b~
AGE BUILDING CONDITION
N~ NOel BELOW ABOVE
FA~ Acre Value Per Voiue
~re
Tillable 1
Til'lable 2
Tillable 3
Wo~land
Swampland FRONTAGE ON WATER
Br~lond FRONTAGE~ ON ROAD /,~ * ~ ~ ~, __,~
House Plot DEPTH
BULKH~D
fatal D~K
·Bldg.
tension
tension
,~ension
rch
,rch
reezeway
~rage
atio
· Bo
~tal
~ *~,~, 7 : ~, 74"
/~/lb -- 7-7S
COLOR
~gundotion
3~sement
~xt. Walls
:ire Place
rype Roof
;~ecreotJon Room
)ormer
Driveway
Both
Floors
Interior Finish
Heat
Rooms 1st Floor
Dinette
LR.
DR;
BR.
P, ooms 2nd Floor FIN. B.